Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Christopher Charles Fanella

Individual provider Medical Physician Assistant · NPI 1013686914

Christopher Charles Fanella is a Physician Assistant in Miramar, Florida. Qualified in 2021, 5 years ago. Practices with South Florida Spine and Sports Specialists LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
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Practice location Address checks out

3000 SW 148th Ave Ste 115
Miramar, FL 33027-4181
Phone: (954) 438-7000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9115102 (FL)

Record details

NPI number1013686914
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 13, 2021
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice South Florida Spine And Sports Specialists Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients105
Services billed 444 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Memorial Hospital Miramar Hospital · Miramar, FL

Colleagues at South Florida Spine and Sports Specialists LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 6 clinicians in the practice; 4 are shown here.

Other providers in Miramar